| NPI | 1508368556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5722) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003517) |
| 152W00000X Optometrist (Licence: MD TA29554) | |
| 152W00000X Optometrist (Licence: KY 2098DT) | |
| 152W00000X Optometrist (Licence: OH T3499) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2023-10-09 |